| NPI | 1942816657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 2166) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 10325) |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2025-10-02 |